Provider Demographics
NPI:1225386006
Name:DAVIS, DONNA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 KELSO ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-2628
Mailing Address - Country:US
Mailing Address - Phone:512-699-5368
Mailing Address - Fax:
Practice Address - Street 1:1801 WYOMING AVE
Practice Address - Street 2:203
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5748
Practice Address - Country:US
Practice Address - Phone:512-699-5368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health